MISS Phinsaykeo Souriyathay
NPI #1265079404 in Brooklyn Park, Minnesota
Provider Information
- NPI Number
- 1265079404
- Entity Type
- Individual
- Name
- MISS Phinsaykeo Souriyathay
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Dec 6, 2019
- Last Updated
- Dec 6, 2019
Practice Location
- Address
- 9300 PENN AVE N
- City
- Brooklyn Park
- State
- Minnesota
- ZIP Code
- 55444-1166
- Phone
- (612) 368-1236
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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